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اثرات داروی ضد دیابت متفورمین بر سایر بیماریها: یک مطالعه مروری | ||
فصلنامه علمی زیست شناسی جانوری تجربی | ||
دوره 13، شماره 1 - شماره پیاپی 49، شهریور 1403، صفحه 81-96 اصل مقاله (1.13 M) | ||
نوع مقاله: مقاله مروری | ||
شناسه دیجیتال (DOI): 10.30473/eab.2024.70859.1941 | ||
نویسندگان | ||
ویدا حجتی* 1؛ منیره شفاهی2 | ||
1گروه زیست شناسی، واحد دامغان، دانشگاه آزاد اسلامی، دامغان، ایران | ||
2گروه علوم پایه، واحد آزادشهر، دانشگاه آزاد اسلامی، آزادشهر، ایران | ||
چکیده | ||
متفورمین یک داروی بیگوانید است که با کاهش تولید گلوکز در کبد، کاهش جذب رودهای و افزایش حساسیت به انسولین، سطح گلوکز خون را کاهش میدهد. متفورمین از اواخر دهه 1950 برای درمان دیابت نوع دو مورد استفاده قرار گرفت و همچنان اولین داروی انتخابی برای این بیماری است. در سالهای اخیر گزارش شده که متفورمین دارای اثرات مطلوبی در بیماریهای دیگر نیز هست. لذا هدف از پژوهش حاضر مروری بر اثرات درمانی داروی متفورمین در بیماریهای دیگر و انواع سرطان براساس آخرین پژوهشها میباشد. مطالعه مروری حاضر با استفاده از کلمات کلیدی از پایگاههای داده داخلی SID و Irandoc و پایگاههای خارجی Web of Science، Scopus، Pubmed و Springer، جمعآوری شدند. در مجموع 100 پژوهش در فاصله سالهای 2010 تا 2024 با تأکید بر جدیدترین منابع انتخاب و بررسی شدند. متفورمین در بیماران چاقی که مشکلاتی نظیر نارسایی کلیه یا کبد نداشته باشند بهعنوان داروی خط اول درمان مطرح است. همچنین بر بیماریهای تخمدانی (سندرم تخمدان پلیکیستیک و بینظمی قاعدگی)، بیماریهای شناختی، التهابی، قلبی، کلیوی، کبدی و سرطانها تأثیرات مطلوبی نشان داده است. متفورمین با تنظیم مسیرهای پیامرسانی متعدد مانندJAK/STAT3 وmTOR/STAT3 با محوریت STAT3، از پیشرفت بیماریهای مختلف مانند تومورها، بیماریهای خودایمنی و مرتبط با هورمون جلوگیری میکند. متفورمین دارای اثرات حفاظتی عصبی مهمی مانند جلوگیری از کاهش حافظه، سکته مغزی، اضطراب، التهاب و تشنج میباشد. همچنین دارای اثرات آنتیاکسیدانی بوده و در جلوگیری از پیری نیز مفید واقع شده است. با توجه به عوارض جانبی کم و البته تحقیقات بالینی بیشتر، احتمالاً میتوان از متفورمین در پیشگیری یا درمان برخی بیماریها علاوه بر دیابت استفاده کرد. | ||
کلیدواژهها | ||
متفورمین؛ کبد چرب؛ بیماری قلبی؛ سرطان؛ پیری | ||
عنوان مقاله [English] | ||
The Effects of the Antidiabetic Drug Metformin on Other Diseases: A Review Study | ||
نویسندگان [English] | ||
Vida Hojati1؛ Monireh Shafahi2 | ||
1Department of Biology, Damghan Branch, Islamic Azad University, Damghan, Iran | ||
2Department of Sciences, Azadshahr Branch, Islamic Azad University, Azadshahr, Iran | ||
چکیده [English] | ||
Metformin is a biguanide drug that reduces blood glucose levels by reducing glucose production in the liver, reducing intestinal absorption and increasing insulin sensitivity. Metformin has been used to treat type 2 diabetes since the late 1950s and remains the first drug of choice for this disease. In recent years, it has been reported that metformin has favorable effects in other diseases as well. Therefore, the purpose of this research is to review the therapeutic effects of metformin in other diseases and types of cancer based on the latest research. The present review was collected using keywords from internal databases SID and Irandoc and external databases Web of Science, Scopus, Pubmed and Springer. A total of 100 researches between 2010 and 2024 were selected and reviewed with an emphasis on the latest sources. Metformin is considered as the first line of treatment in obese patients who do not have problems such as kidney or liver failure. It has also shown favorable effects on ovarian diseases (such as pycystic ovary syndrome and menstrual irregularity), cognitive, inflammatory, heart, kidney, liver and cancer diseases. Metformin prevents the progression of various diseases such as tumors, autoimmune and hormone-related diseases by regulating multiple signaling pathways such as JAK/STAT3 and mTOR/STAT3 centered on STAT3. Metformin has important neuroprotective effects such as preventing memory loss, stroke, anxiety, inflammation and seizures. It also has antioxidant effects and is useful in preventing aging. Due to the few side effects and of course more clinical research, metformin can probably be used in the prevention or treatment of some diseases in addition to diabetes. | ||
کلیدواژهها [English] | ||
Metformin, fatty liver, heart disease, cancer, aging | ||
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